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Individual

MR. GARY JOSEPH ZILLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA GUIDANCE & COUNSE

Contact information

Practice address
20811 KELLY ROAD, SUITE 103, EASTPOINTE, MI 48021
(586) 445-2210
Mailing address
29567 EIFFEL, WARREN, MI 48088
(586) 573-7828

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C-00924
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C-00924
CAADC
MI
Enumeration date
04/25/2011
Last updated
04/25/2011
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